Make Artificial Intelligence a Reality
Our goal is to Fix Healthcare
data exchange
#EDIFix
Rethink Healthcare Solutions with
AI-enabled auto scalable platform HiPaaS
HiPaaS in action at Healthcare Insurance Plans
Largest plan : 12M+ members
Uses HiPaaS for Revenue Cycle Management - Payment Posting & to Reconcile Claims & Remittances
4M+ Medicaid members Plan (18 States)
use HiPaaS for EDI Validation for all EDI transactions
Healthcare Plan: 1.5M members
use HiPaaS for EDI Validation for all EDI transactions
4M+ Members and Providers
uses HiPaaS Engine to provide Eligibility data Response for Providers
Marketplace Plans (14 States)
use HiPaaS for EDI Validation for all EDI transactions
200K California MediCal Members Plan
uses HiPaaS to compare enrollments Full file for DHCS Plan
50K+ Benefit Administration Plan
uses HiPaaS as enrollment clearing house to submit COBRA and membership changes
2M+ Medicaid Members Plan
uses HiPaaS to send Remittances every day
Largest Hospital in Bay area
uses HiPaaS for Revenue Management - Claims Validation and check Covered vs Non Covered
CMS Interoperability for Healthcare Plans
100K members California Plan
uses HiPaaS CMS Interoperability for Provider and Patient API
80K Members WI Plan
uses HiPaaS CMS Interoperability for Provider and Patient API
1M Members VA Plan
uses HiPaaS CMS Interoperability for Provider and Patient API
HiPaaS in action at Hospitals
Largest Hospital in Bay area
uses HiPaaS for Revenue Management - Claims Validation and check Covered vs Non Covered
No. 1 Cancer Hospital in CA
uses HiPaaS for Realtime Sepsis Monitoring
No 1. Cancer Hospital in CA
uses HiPaaS for 90 days Mortality Rate Monitoring
Cancer Research Hospital in CA
uses HiPaaS to integrate Genetic Predisposition Monitoring
ACO in Texas
uses HiPaaS to integrate Care Plan data
Medical Group in Colorado
uses HiPaaS Data for Population Management Integration
Our Products
EDI Validate: AI driven HIPAA Validation & Automation
FHIR Monitor: Enable CMS Interoperability and Patient Access Final Rule
Remit Monitor RCM: Make Payment Posting and Remittance Reconciliation easy
Claims Data Lake : Claims data lake up and running in days. Run analysis, machine learning and AI algorithms.
Healthcare regulatory compliance (HIPAA)
HIPAA Healthcare Cloud Solutions
EDI Validate: Experience the future of Healthcare EDI
All-in-one L1 to L7 validation solution with automation
Custom or out of box companion guide setup for validations. Configure complex validation and compare rules based CPT, ICD-10 and HCPCS code validations
837, (I, P, D), 834, 835, 270/271, 276/277, 278, 274, 275, 820, 277CA
Smart EDI Corrections
Our auto rules validate and compare edi data.
Over time learn the repeated issues and auto correct them. Audit every correction.
Manual corrections are available via Work queues
Validation rules templates
Use EdiVal rules design to configure validation riles using templates by Trading Partner
by Line of Business
by Transaction
by Submitter
FHIR Monitor: Enable CMS Interoperability and Patient Access Final Rule
Everything you need for CMS regulation Plug and Play
Patient Access API
Provider Directory API
Payer-to-Payer Data Exchange
Privacy, Security, and Standards
OpenID
3rd Party Consent and On boarding
DVinci use cases. : Out of box DVinci use cases. Payer Exchange, Provide Directory, Clinical Use Cases, Formulary Drug and Network Implementation
Load 5 Years of Patient Data
Claims Data Lake: Load, relate and search claims data
Load 837 or any other Claims data format
Connect anywhere , anything
One repository for structured, unstructured, claims data.
Load 837, (I, P, D), 835, 270/271, 276/277, 278, 274, 275, 820, 277CA
Load Claims Attachments
Load Patient Telehealth Videos and Markers
Remit Monitor: Improve Remittance by 20%
We make Payment Posting and Remittance Reconciliation easy
Revenue Cycle Management as a Service Auto learning and custom coding rules to validate claims. Automation for ERA to Claims match, corrections and reconciliation across transactions.
1. Complete Outsourcing - End to end service with billing and coding expert
2. Technology Only - Enable our cloud service, train your staff and start using
Clinical AI Monitor: Enable Clinical Decision Support
AI Driven Clinical Decision Modeling : Collect real time Vitals, Labs and run AI algorithms to manage cases like Sepsis monitoring, mortality rate monitoring, population health and others.
Enable Interoperability : Stream real time HL7 data, FHIR resources and APIs. HL7 , FHIR & Rest API Integration and any data sources. Out of box clinical data repository build on graph model
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About
Why Choose HiPaaS?
Kubernetes Cluster
Autoscale with Kubernetes. Deploy on Cloud or On Prem - AWS, Azure and Google supported
Healthcare Neo4j GraphDB
HipaaS Store and retrieves healthcare data in Neo4j GraphDB. X12, HL7, FHIR modeling
Healthcare Interoperability Solved
Support for all Healthcare data formats – EDI, HL7, FHIR, NCDP and more. using Boomi
Secure Healthcare API
Everything is Healthcare API. Access any X12, EDI segment or element via API
